Summer Camp Registration Form 2026

Camper Name

First NameLast Name

Preferred Location

Grade and School

Age

Language of Choice

Level of Experience with Foreign Language

Please describe the areas of support that needed for language learning in the target language of choice

Spanish, Mandarin or ESL & How we can best support your camper.

Special instructions? (IEP's, Allergies, etc.) Please be as specific as possible.

Parent/Guardian Information

Name

First NameLast Name

Mobile Number

Format: (000) 000-0000.

E-mail

Emergency Information

Emergency Contact's Name

First NameLast Name

Relationship

Phone Number

Format: (000) 000-0000.

Authorized Person to Pick-Up

Name

First NameLast Name

Name

First NameLast Name

Phone Number

Format: (000) 000-0000.

Phone Number

Format: (000) 000-0000.

How did you hear about us?

Photo/Video Release: I hereby allow Bilingual Kids to use my child's picture, face, or likeness in advertising for the sole purpose of promoting the Bilingual Kids program. I understand that this would be on print, online, and/or video images of in-program activities.

My Products

Wacky Science

June 8 - June 12

$585.00 Sessions

Zoofari Adventure

June 15 - June 18

*Prorated Cost due to Holiday

$475.00 Sessions

Reuse, Repurpose, & Recreate

June 22 - June 26

$585.00 Sessions

1, 2, 3, BLAST OFF!!

June 29 - July 3

$585.00 Sessions

Nature and its Magical Wonders

July 6 - July 10

$585.00 Sessions

Art Attack

July 13 - July 17

$585.00 Sessions

Mega Monster Madness

July 20 - July 24

$585.00 Sessions

Waves, Worlds & Wonders - LaJolla

July 27 - July 31

*Additional 1 Week Summer Camp

$585.00 Sessions

Little Foodies & Word Explores - The Hive

Aug 3 - Aug 7

*Additional 1 Week Summer Camp

$585.00 Sessions

Early Drop Off - 8:00 AM

Unless Prior Arrangements have been made

$30.00 Quantity

Late Pick-Up (Per Day)

Unless Prior Arrangements have been made

$30.00 Quantity

Enter coupon

Total

Payment Methods
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Which camp session will need Early Drop-Off / Late Pick-Up services?

Please indicate here

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Informed Consent and Acknowledgement

I hereby release Bilingual Kids from any and all liability arising out of my child’s participation in this program. I assume all risks associated with this activity. In case of illness, I authorize a representative of Bilingual Kids to obtain immediate care deemed necessary by licensed medical personnel. I have read and fully understand these terms and I sign it voluntarily.

Date

Signature

Summer Camp Registration

Camper Information

My Products*

My Products